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Found 14426 cases where Vaccine is PNC13

Case Details (Reverse Sorted by Appearance Date)

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VAERS ID:592390 (history)  Vaccinated:2015-08-14
Age:0.6  Onset:2015-08-14, Days after vaccination: 0
Gender:Male  Submitted:2015-08-19, Days after onset: 5
Location:California  Entered:2015-08-25, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (ACTHIB)SANOFI PASTEURUI264AA1IMRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHL846311IMLL
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea, Screaming, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Noninfectious diarrhoea (narrow)
Write-up: "Screaming" x 2 hrs, vomited and diarrhea x 4.

VAERS ID:592456 (history)  Vaccinated:2015-08-12
Age:1.0  Onset:2015-08-13, Days after vaccination: 1
Gender:Female  Submitted:2015-08-25, Days after onset: 12
Location:Maryland  Entered:2015-08-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHL777793UNLL
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.L0092030UNLL
Administered by: Private     Purchased by: Private
Symptoms: Erythema, Injection site swelling
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Bump appeared left thigh morning after vaccines. Two days later bump had resolved, no redness but still had some swelling. As of 8/23/15 redness had come back. No other symptoms, does not bother patient.

VAERS ID:592484 (history)  Vaccinated:2015-02-18
Age:1.3  Onset:2015-02-18, Days after vaccination: 0
Gender:Female  Submitted:0000-00-00
Location:California  Entered:2015-08-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (INFANRIX)GLAXOSMITHKLINE BIOLOGICALSGD4L23UNLL
HIBV: HIB (ACTHIB)SANOFI PASTEURUI136AA3UNLL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHJ238653UNRL
Administered by: Unknown     Purchased by: Unknown
Symptoms: Febrile convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: Fever of 103 degrees F with a febrile seizure within 6 hours of receiving Dtap #4, PCV 13 #4, Hib #4.

VAERS ID:592492 (history)  Vaccinated:2015-08-18
Age:78.0  Onset:0000-00-00
Gender:Unknown  Submitted:0000-00-00
Location:Arizona  Entered:2015-08-25
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHL620250IMUN
Administered by: Other     Purchased by: Private
Symptoms: Musculoskeletal pain, Pain in extremity, Peripheral swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)
Write-up: Shot admin 8/18/15. Patient returned 8/22/15 w/swollen painful arm and shoulder. Doctor presented prednisone.

VAERS ID:592518 (history)  Vaccinated:2015-05-28
Age:73.0  Onset:2015-06-04, Days after vaccination: 7
Gender:Male  Submitted:2015-07-20, Days after onset: 46
Location:Florida  Entered:2015-08-25, Days after submission: 36
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHL620741UNLA
TDAP: TDAP (ADACEL)SANOFI PASTEURC4765AA1UNRA
Administered by: Other     Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Rash. Fluocinonide small amount BID.

VAERS ID:591424 (history)  Vaccinated:2015-08-20
Age:0.5  Onset:2015-08-20, Days after vaccination: 0
Gender:Male  Submitted:2015-08-24, Days after onset: 4
Location:Colorado  Entered:2015-08-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None noted.
Preexisting Conditions: None noted.
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPV: DTAP + IPV (KINRIX)GLAXOSMITHKLINE BIOLOGICALS23MJ7 IMLL
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.K004540 IMRL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHH88966 IMRL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.K005273 PO 
Administered by: Public     Purchased by: Public
Symptoms: Drug administered to patient of inappropriate age
SMQs:
Write-up: Pt. was in for catch up on immunizations, given the 4 month series and then in 30 days, he will be given the 6 month series. Pt. was given Kinrix as he needed DTaP and IPV, when entering this into the CIIS system this was not under the recommended vaccines, and alerted me that this vaccine should have not been given to this age of pt. When reviewing the package insert it was noted that this should have only been given to pts. $g4 years of age. Emailed the CDC NIPINFO helpdesk and asked what should be done, should the dose be invalidated? Got an email back stating "the Kinrix dose is off-label, and care should be take to ensure that it doesn''t happen again, but both the DTaP and IPV components may be counted as valid doses. No additional action is needed."

VAERS ID:591467 (history)  Vaccinated:2015-08-18
Age:72.0  Onset:2015-08-18, Days after vaccination: 0
Gender:Female  Submitted:2015-08-24, Days after onset: 6
Location:Virginia  Entered:2015-08-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pantoprazole, fluriprofen, raloxifene, levothyroxine, fish oil, Vitamin D, multi vitamin
Current Illness: Already had several insect bites Dr. looked at since I was there for poison ivy. About 6 hours + the bite areas became inflamed, very itchy and red. This state that way for 5 more days. I used a steroid cream, took Benadryl and Caladryl lotion. The sites were painful.
Preexisting Conditions: Isect bites
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHPCV 13   
Administered by: Private     Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Welt like areas where there had been insect bites. Treated with a steroid cream.

VAERS ID:591468 (history)  Vaccinated:2015-08-17
Age:58.0  Onset:2015-08-17, Days after vaccination: 0
Gender:Female  Submitted:2015-08-24, Days after onset: 7
Location:Connecticut  Entered:2015-08-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NO KNOWN ALLERGIES, BREAST CANCER, COPD
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHL77777 IMLA
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: REDNESS, SWELLING 3 X 3 INCHES TO INJECTION SITE.

VAERS ID:591657 (history)  Vaccinated:2014-05-07
Age:0.2  Onset:2014-05-07, Days after vaccination: 0
Gender:Female  Submitted:2015-08-10, Days after onset: 460
Location:New York  Entered:2015-08-24, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: UNK
Preexisting Conditions: None
Diagnostic Lab Data: Lab tests unknown
CDC Split Type: 2014SA104064
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC4617AA0UNUN
DTPHIB: DTP + HIB (DTP + ACTHIB)SANOFI PASTEURUH827AB0UNUN
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURK13290UNUN
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETH  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Crying
SMQs:, Depression (excl suicide and self injury) (broad)
Write-up: Initial report received from a healthcare professional on 30 July 2014. A 02-month-old female patient had received first dose of IOL (lot number: K1329, route and site was not reported), received first dose of DAPTACEL (lot number: C4617AA, route and site was not reported), received first dose of ACTHIB (lot number UH827AB, route and site not reported), received a dose of PREVNAR 13 (manufacturer other, lot number, dose in series, route and site was not reported) and had also received a dose of ROTATEQ (manufacturer other, lot number, dose in series, route and site was not reported) on 07 May 2014. The patient had no illness at the time of vaccination. The patient''s pre-existing physician diagnosed allergies, birth defects and medical conditions was unknown. On 07 May 2014, same day after the vaccination, the patient''s developed inconsolable crying. The patient''s corrective treatment and laboratory investigations were not reported. The patient recovered on an unspecified date after 3 hours. The patient required ER/doctor visit. Documents held by sender: none.

VAERS ID:591738 (history)  Vaccinated:2015-04-03
Age:11.0  Onset:0000-00-00
Gender:Male  Submitted:2015-08-10
Location:California  Entered:2015-08-24, Days after submission: 14
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: None
Diagnostic Lab Data: Clinical Reportable Range test was performed which was negative. Body temperature, 103 DEGREE F; Blood test, NEGATIVE
CDC Split Type: 2015SA046008
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHLI3063 IMUN
TDAP: TDAP (ADACEL)SANOFI PASTEURC47`3AA IMUN
Administered by: Other     Purchased by: Other
Symptoms: Blood test normal, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad)
Write-up: Initial unsolicited report received from a healthcare professional on 08 April 2015. A 11-year-old male patient, whose medical history was reported as none and concomitant medications were not reported received a second dose of ADACEL (batch number C4713AA) (expiry date, dose, route and site of administration were not reported), a second dose of PNEUMOCOCCAL VACCINE (batch number, expiry date, dose, route and site of adminsitration were not reported), a dose of HEPATITIS A vaccine (batch number, expiry date, dose, route and site of administration were not reported) and a dose of HEPATITIS B VACCINE whose batch number, expiry date, dose, route and site of adminsitratiton were not reported on 03 April 2015. On 06 March 2015, the patient received a second dose of IPOL and also a second dose of MMR II whose batch number, expiry date, dose, route and site of administration were not reported. It was reported that after the vaccination the patient experienced fever of 103 degrees F and swollen lymph nodes of axilla of arm in which had received ADACEL vaccination. It was reported that previously the patient had received first dose of ADACEL (batch number U4963AA) (expiry date, dose, route and site of administration were not reported), IPOL, MMR II and Pneumococcal vaccine (whose expiry date, batch number, dose, route and site of administration were not reported for all the vaccines) on 05 Februray 2015. It was reported that several days after vaccination, patient experienced fever of 103 degrees F and swollen lymph nodes at axillary area of arm in which ADACEL was given. Corrective treatments and other lab test reports were not reported. At the time of this report the patient outcome was unknown. It was reported that patient required Emergency Room/doctor visit. Documents held by sender: none. Follow up information received from a physician on 08 May 2015. It was reported that, patient had received 0.5 ml dsoe of Pneumococcal Vaccine (Batch number: LI3063, Mfr: - Pfizer) and 0.5 ml dose of IPOL (Batch number: K007827)), 0.5 ml dose of HEPATITIS A VACCINE (Batch number: K007827, Mfr: - Merck) and HEPATITIS B VACCINE (Batch number: K02144, Mfr: - Merck). All the vaccines were administered intramuscularly. No new additional information reported. Documents held by sender: none. Follow-up information received from a physician on 06 July 2015. Patient had previously experienced fever and lymphadenopathy when he received first dose of ADACEL, IPOL, MMR II and pneumococcal vaccine. Patient had received antibiotics previously as corrective treatments. A CXR (chest X-ray) and blood tests were conducted which were found to be negative. Patient has visited the office twice. It was reported that the patient was doing well with no further symptoms and recovered from the events on unspecified date. List of Documents held by Sender: none.

VAERS ID:592172 (history)  Vaccinated:2015-08-05
Age:74.0  Onset:2015-08-05, Days after vaccination: 0
Gender:Female  Submitted:2015-08-05, Days after onset: 0
Location:Florida  Entered:2015-08-24, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pharmacy
Current Illness: Pain; Swelling redness
Preexisting Conditions: Non relevant
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHL31687 SYRLA
Administered by: Other     Purchased by: Public
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Pain, swelling, redness, itching on the site of injection.

VAERS ID:592174 (history)  Vaccinated:2015-06-12
Age:0.2  Onset:2015-06-14, Days after vaccination: 2
Gender:Male  Submitted:2015-08-17, Days after onset: 64
Location:New York  Entered:2015-08-24, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAP: DTAP (DAPTACEL)SANOFI PASTEURC4781AA0IMUN
HIBV: HIB (ACTHIB)SANOFI PASTEURUI288AA0IMUN
IPV: POLIO VIRUS, INACT. (IPOL)SANOFI PASTEURL11800IMUN
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHL620740IMUN
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.L0020410IMUN
Administered by: Private     Purchased by: Unknown
Symptoms: Irregular breathing, Respiration abnormal, Seizure
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (broad)
Write-up: At 2 mo vaccines-2 days after administration parents called that baby having irregular breathing. Told to go to ER. Resolved. Parents didn''t go to ER. After 4 mo vaccines again with episodes of abl breathing and seizure activity. EA for video EEG. Baby admitted, parents refused VEEG after episode period in 10 hours.

VAERS ID:592191 (history)  Vaccinated:2015-08-18
Age:  Onset:2015-08-19, Days after vaccination: 1
Gender:Male  Submitted:2015-08-24, Days after onset: 5
Location:Florida  Entered:2015-08-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHL364851UNLA
Administered by: Unknown     Purchased by: Public
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Musculoskeletal stiffness
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)
Write-up: After 1 week of administration patient upper arms are swollen, reddish color with pain and stiffness.

VAERS ID:592205 (history)  Vaccinated:2015-08-17
Age:0.2  Onset:2015-08-17, Days after vaccination: 0
Gender:Male  Submitted:2015-08-24, Days after onset: 7
Location:Illinois  Entered:2015-08-24
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: D-Vi-Sol
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL)SANOFI PASTEURC4837AA0IMLL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.L0075581IMLL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHL581540IMRL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.K0229930PO 
Administered by: Private     Purchased by: Private
Symptoms: Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)
Write-up: Diarrhea psot vaccines.

VAERS ID:592225 (history)  Vaccinated:2015-07-07
Age:100  Onset:2015-07-07, Days after vaccination: 0
Gender:Male  Submitted:2015-08-23, Days after onset: 47
Location:Tennessee  Entered:2015-08-24, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuteral; ASA; Bicalutamide; Cetirizine; Cholecalciferol; Docusate; Finasteride; Flunisolide nasal spray; Lisinopril; Milk of magnesia; AREDS2; Multivitamin; Mupirocin; Nystatin topical ointment; Omeprazole; Sennoside; Simvastatin; Tamsulo
Current Illness: BPH; Environmental allergies; Dyspnea on exertion; Squamous cell carcinoma of skin of cheek; Mild cognitive impairment; Legal blindness; Herpes zoster; Anxiety; Osteoarthritis; Hypertension; Nocturia; Urinary frequency; Prostate cancer; Dysphagia; Dizziness; GERD; vitamin B12 deficiency; vit D deficiency; Diastolic heart failure; Constipation; Seborrheic dermatitis; Tinea; Insomnia; Astigmatism; Pseudophakia; ARMD; HLD; Anemia; Hx of MI; Angina
Preexisting Conditions: LORTAB, Nitrofurantoin
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETH620721UNLA
Administered by: Other     Purchased by: Other
Symptoms: Asthenia, Injection site erythema, Injection site hypersensitivity, Injection site pain, Injection site papule, Injection site pruritus, Injection site rash, Injection site reaction, Malaise, Rash macular
SMQs:, Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Patient vaccinated with PREVNAR 07/06/15, felt generalized weakness and ill next day significant such that nursing home staff wanted to take patient to ED. On 7/12, a crescent shaped rash appeared. An RN visited patient on 7/13 and reports pain in his rash in his groin and he has a rash on his L arm (deltoid) 26cm x 10cm at the widest area crescent shaped. Appears as a allergic reaction, not raised, no vesicles, patient states it burns and itches at the same time. NP visited next day on 7/14 and reported macular rash extending from deltoid to inner aspect of arm to a few inches above elbow. Rash has 1 papule, but predominantly flat, mild erythema-patient states pruritis and burning. Rash 4-5 inches in width. NP ordered hydrocortisone for application to arm site and reports patient responded well to it quickly.

VAERS ID:592466 (history)  Vaccinated:2015-08-06
Age:82.0  Onset:2015-08-09, Days after vaccination: 3
Gender:Male  Submitted:2015-08-23, Days after onset: 14
Location:New York  Entered:2015-08-24, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: No allergies. No medicinal conditions
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHL135240IMLA
Administered by: Other     Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Skin exfoliation
SMQs:, Severe cutaneous adverse reactions (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad)
Write-up: Approximately 3 days after vaccine pt''s arm became red about 3-4 cm. around injection site. Gradually grew to a red spot approximately 3 1/2 to 4 inches around the site and became painful. As of 8/23/15 redness has gone down a little but arm began to peel a large area below site.

VAERS ID:591354 (history)  Vaccinated:2015-07-03
Age:89.0  Onset:2015-07-13, Days after vaccination: 10
Gender:Female  Submitted:2015-08-22, Days after onset: 40
Location:Colorado  Entered:2015-08-22
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine 5mg; levothyroxine 112 mcg; triamterene/hctz 37.5-25
Current Illness: None
Preexisting Conditions: Hypertension; hypothyroidism
Diagnostic Lab Data: None
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHL53939 IMLA
Administered by: Other     Purchased by: Other
Symptoms: Pruritus, Rash, Rash erythematous, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Rash, hives; red bumps; itching.

VAERS ID:591549 (history)  Vaccinated:2015-08-13
Age:79.0  Onset:2015-08-13, Days after vaccination: 0
Gender:Male  Submitted:2015-08-14, Days after onset: 1
Location:New York  Entered:2015-08-22, Days after submission: 8
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: COPD
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEURUT4284A1IMLA
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHL724420IMRA
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.L0124770SCLA
Administered by: Other     Purchased by: Private
Symptoms: Bronchitis, Chills, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: Patient''s daughter called and stated patient developed chills and vomiting after receiving 3 vaccinations. 104 degree fever. Came down with bronchitis.

VAERS ID:591203 (history)  Vaccinated:2015-08-20
Age:0.2  Onset:2015-08-20, Days after vaccination: 0
Gender:Female  Submitted:2015-08-21, Days after onset: 1
Location:Indiana  Entered:2015-08-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None; TYLENOL
Current Illness: No
Preexisting Conditions: Mother hx Bell''s Pasly during pregnancy
Diagnostic Lab Data: CBC WBC 11.1; Platelet 464; MPV 7.3
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX)GLAXOSMITHKLINE BIOLOGICALS2PY240IMRL
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.L0144260IMLL
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHL777790IMLL
RV5: ROTAVIRUS (ROTATEQ)MERCK & CO. INC.K0193720PO 
Administered by: Private     Purchased by: Private
Symptoms: Full blood count, Mean platelet volume decreased, Petechiae, Platelet count normal, Somnolence, Vomiting, White blood cell count normal
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Myelodysplastic syndrome (broad)
Write-up: Right leg below the knee-many scattered, non-blanching petechiae, one on sole of foot. This occurred within 5 hours of vaccine. Parent stated that infant was sleepy and vomited bottle. temp of 98.2.

VAERS ID:591222 (history)  Vaccinated:2015-08-03
Age:67.0  Onset:2015-08-03, Days after vaccination: 0
Gender:Female  Submitted:2015-08-21, Days after onset: 18
Location:Wisconsin  Entered:2015-08-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Per patient reported medication list: Arginine 500 mg once daily; Calcium-Vitamin D daily, MVI w/ mineral daily; Taurine 1000 mg daily
Current Illness: None
Preexisting Conditions: Problem List: Vitamin D deficiency disease, hip pain, thrombocytopenia, leucopenia, cataract. Allergies: Latex, clarithromycin, erythromycin, hyoscyamin, penicillins
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
PNC13: PNEUMO (PREVNAR13)PFIZER/WYETHI7777P0IMLA
Administered by: Public     Purchased by: Other
Symptoms: Decreased appetite, Erythema, Lethargy, Peripheral swelling, Pruritus, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)
Write-up: Per patient report via MY CHART (email): "Whole upper arm from shoulder to mid upper arm; significant swelling observable to the eye, red, hot, painful for three full days. Could not on that arm for three nights. After the second day, the very red parts of the reaction began to itch. Felt no appetite and lethargic for first two days. =$g I will not be taking any further pneumonia vaccinations. Had a similar but less allergic response to the flu vaccine in the past =$g I will not be taking any further flu shots.

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